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通过聚焦超声诱导的体内短暂性血脑屏障开放递送阿杜卡单抗。

Aducanumab delivery via focused ultrasound-induced transient blood-brain barrier opening in vivo.

作者信息

Jeong Jaeyeong, Han Mun, Jeon Soyeon, Kim Yejin, Choi Hyo Jin, Choi Woohyuk, Kwon Kihyun, Choi Jong-Ryul, Lee Eun-Hee

机构信息

Department of Molecular and Cellular Biology, Baylor College of Medicine, Houston, TX, 77030, USA.

Medical Device Development Center, Daegu-Gyeongbuk Medical Innovation Foundation (K- MEDIhub), Daegu, South Korea.

出版信息

Sci Rep. 2025 May 22;15(1):17742. doi: 10.1038/s41598-025-02412-1.

Abstract

Focused ultrasound (FUS) with magnetic resonance imaging (MRI) guidance (MRgFUS) has emerged as a promising technique for enhancing drug delivery to the brain. Through the controlled oscillation of gas-encased microbubbles, FUS temporarily modulates the integrity of tight junctions, inducing localized blood-brain barrier disruption (BBBD) and allowing targeted drug passage. Aducanumab (ADU) has demonstrated efficacy in reducing amyloid pathology, yet its clinical application remains limited by the restrictive nature of the blood-brain barrier (BBB). This in vivo study aimed to evaluate the efficiency of ADU delivery facilitated by FUS-induced BBBD in the normal Institute of Cancer Research (ICR) mouse brain under two pressure conditions: 0.25 and 0.42 MPa. Following FUS sonication with MRI guidance, ADU concentrations in brain tissues and serum were measured via enzyme-linked immunosorbent assay (ELISA) at multiple time points. Histological analysis at 24 h post-FUS-BBBD was performed to assess ADU distribution, and tissue integrity was evaluated through hematoxylin and eosin (H&E) and Nissl staining to detect potential damage in the target regions. The results demonstrated that MRgFUS significantly increased ADU concentrations within the target areas without inducing substantial tissue damage. ADU delivery efficiency was directly correlated with the degree of BBBD, exhibiting a 7-fold increase at 0.25 MPa and a 60-fold increase at 0.42 MPa compared to sham controls, with distinct kinetic profiles observed for each condition. These findings highlight the potential of FUS-BBBD as a therapeutic strategy to enhance ADU delivery to the brain, reduce required infusion doses, and mitigate side effects associated with high-dose administration.

摘要

磁共振成像(MRI)引导下的聚焦超声(FUS,即MRgFUS)已成为一种很有前景的增强脑部药物递送的技术。通过包裹气体的微泡的受控振荡,FUS可暂时调节紧密连接的完整性,诱导局部血脑屏障破坏(BBBD),并允许靶向药物通过。阿杜卡单抗(ADU)已证明在减少淀粉样蛋白病理方面有效,但其临床应用仍受到血脑屏障(BBB)的限制。这项体内研究旨在评估在0.25和0.42兆帕两种压力条件下,FUS诱导的BBBD促进ADU递送至正常癌症研究所(ICR)小鼠脑内的效率。在MRI引导下进行FUS超声处理后,通过酶联免疫吸附测定(ELISA)在多个时间点测量脑组织和血清中的ADU浓度。在FUS-BBBD后24小时进行组织学分析以评估ADU分布,并通过苏木精和伊红(H&E)染色及尼氏染色评估组织完整性,以检测靶区域的潜在损伤。结果表明,MRgFUS显著提高了靶区域内的ADU浓度,且未引起实质性组织损伤。ADU递送效率与BBBD程度直接相关,与假手术对照组相比,在0.25兆帕时增加了7倍,在0.42兆帕时增加了60倍,每种条件下均观察到不同的动力学特征。这些发现突出了FUS-BBBD作为一种治疗策略的潜力,可增强ADU向脑内的递送,减少所需输注剂量,并减轻与高剂量给药相关的副作用。

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